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Trends in Anticoagulation Practices Post Tissue Aortic Valve Replacement (AVR)

Received: 17 July 2017    Accepted: 25 July 2017    Published: 26 August 2017
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Abstract

Biological aortic valve replacements are commonplace in cardiac surgery and is highly recommended for patients older than 65 years old as there is no need for anticoagulation. However, there is a significant incidence of post-operative atrial fibrillation in this cohort of patients which results in some surgeons preferring to anticoagulated patients for short term. The practice at a tertiary referral centre was reviewed.

Published in Biomedical Statistics and Informatics (Volume 2, Issue 3)
DOI 10.11648/j.bsi.20170203.15
Page(s) 117-121
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anticoagulation, Warfarin, Tissue Aortic Valve Replacement

References
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[3] Moinuddeen K, Quin J, Shaw R, Dewar M, Tellides G, Kopf G, Elefteriades J. Anticoagulation is unnecessary after biological aortic valve replacement. Circulation 1998; 98 [19 Suppl]: II 95-8; discussion II 98-9.
[4] Orszulak TA, Schaff HV, Mullany CJ, Anderson BJ, Ilstrup DM, Puga FJ, Danielson GK. Risk of thromboembolism with the aortic Carpentier-Edwards bioprosthesis. The Annals of thoracic surgery 1995; 59 [2]:462-468.
[5] Al-Atassi T, Lam K, Forgie M, Boodhwani M, Rubens F, Hendry P, Masters R, Goldstein W, Bedard P, Mesana T and others. Cerebral Microembolization After Bioprosthetic Aortic Valve Replacement: Comparison of Warfarin Plus Aspirin Versus Aspirin Only. Circulation 2012; 126 [11 suppl 1]: S239-S244.
[6] Goldsmith I, Lip GY, Mukundan S, Rosin MD. Experience with low-dose aspirin as thromboprophylaxis for the Tissuemed porcine aortic bioprosthesis: a survey of five years' experience. J Heart Valve Dis 1998; 7 [5]:574-9.
[7] Gherli T, Colli A, Fragnito C, Nicolini F, Borrello B, Saccani S, D’Amico R, Beghi C. Comparing Warfarin With Aspirin After Biological Aortic Valve Replacement: A Prospective Study. Circulation 2004; 110 [5]:496-500.
[8] Sundt TM, Zehr KJ, Dearani JA, Daly RC, Mullany CJ, McGregor CGA, Puga FJ, Orszulak TA, Schaff HV. Is early anticoagulation with warfarin necessary after bioprosthetic aortic valve replacement? ACC Current Journal Review, 14(8), pp.59-60.
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Cite This Article
  • APA Style

    Sunil Stephenson, Sanjeet Avtaar Singh, Ahmed Al-Adhami, Rajdev Singh Toor. (2017). Trends in Anticoagulation Practices Post Tissue Aortic Valve Replacement (AVR). Biomedical Statistics and Informatics, 2(3), 117-121. https://doi.org/10.11648/j.bsi.20170203.15

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    ACS Style

    Sunil Stephenson; Sanjeet Avtaar Singh; Ahmed Al-Adhami; Rajdev Singh Toor. Trends in Anticoagulation Practices Post Tissue Aortic Valve Replacement (AVR). Biomed. Stat. Inform. 2017, 2(3), 117-121. doi: 10.11648/j.bsi.20170203.15

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    AMA Style

    Sunil Stephenson, Sanjeet Avtaar Singh, Ahmed Al-Adhami, Rajdev Singh Toor. Trends in Anticoagulation Practices Post Tissue Aortic Valve Replacement (AVR). Biomed Stat Inform. 2017;2(3):117-121. doi: 10.11648/j.bsi.20170203.15

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  • @article{10.11648/j.bsi.20170203.15,
      author = {Sunil Stephenson and Sanjeet Avtaar Singh and Ahmed Al-Adhami and Rajdev Singh Toor},
      title = {Trends in Anticoagulation Practices Post Tissue Aortic Valve Replacement (AVR)},
      journal = {Biomedical Statistics and Informatics},
      volume = {2},
      number = {3},
      pages = {117-121},
      doi = {10.11648/j.bsi.20170203.15},
      url = {https://doi.org/10.11648/j.bsi.20170203.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bsi.20170203.15},
      abstract = {Biological aortic valve replacements are commonplace in cardiac surgery and is highly recommended for patients older than 65 years old as there is no need for anticoagulation. However, there is a significant incidence of post-operative atrial fibrillation in this cohort of patients which results in some surgeons preferring to anticoagulated patients for short term. The practice at a tertiary referral centre was reviewed.},
     year = {2017}
    }
    

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    T1  - Trends in Anticoagulation Practices Post Tissue Aortic Valve Replacement (AVR)
    AU  - Sunil Stephenson
    AU  - Sanjeet Avtaar Singh
    AU  - Ahmed Al-Adhami
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    T2  - Biomedical Statistics and Informatics
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    AB  - Biological aortic valve replacements are commonplace in cardiac surgery and is highly recommended for patients older than 65 years old as there is no need for anticoagulation. However, there is a significant incidence of post-operative atrial fibrillation in this cohort of patients which results in some surgeons preferring to anticoagulated patients for short term. The practice at a tertiary referral centre was reviewed.
    VL  - 2
    IS  - 3
    ER  - 

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Author Information
  • Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK

  • Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK

  • Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK

  • Department of Anaesthesiology, Fiona Stanley Hospital, Murdoch, Australia

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